Small pelagic fish species (SPFS) from marine waters off Central-West Africa and North-West Africa and the African Great Lakes Region in Eastern Africa and associated value chains sustain several million livelihoods. Catches are used for direct human consumption, to produce fishmeal and fish oil for animal feeds and to manufacture value-added products. SPFS constitute a valuable source of micronutrients, fatty acids and protein that could help alleviate malnutrition and food insecurity in sub-Saharan Africa. Considering this context, this study aimed to identify and prioritise recommendations concerning SPFS use. Preliminary recommendations came from interviews (n = 122) and focus groups (n = 642) with women and men. Representative stakeholders from Gambia, Ghana, Malawi, Mauritania, Republic of Congo, Senegal, Sierra Leone and Uganda engaged in a Delphi study. Responses were received from 150 to 115 participants in Rounds 1 and 2, respectively. Priority recommendations (Round 2 mean rating > 8) included: environmental audits of fishmeal plants, promote health and safety at work, assess health risks, eliminate pollution, locate factories away from residential areas, promote alternative feed ingredients, farmer training and research programmes, enhanced governance, demand assessment, price controls on fish for feed, regular assessment of key fish stocks, assess and monitor fish affordability, consumption and importance in food and nutrition security, promote better handling to avoid food waste, regulate capacity of fishmeal sector. Comprehensive and effective implementation of priority recommendations could ensure that SPFS use can contribute to food and nutrition security and help provide sustainable and healthy diets across sub-Saharan Africa.

Fishing for subsistence constitutes a livelihood safety net for poverty, malnutrition and gender inequality for populations dependent upon aquatic foods around the world. Here we provide global estimates showing that almost the same amount of small-scale fishers engage in subsistence fishing at some point during the year as in commercial employment and use subsistence estimates to measure small-scale fisheries’ livelihood safety net function. In 2016, we estimate that 52.8 million people were engaged in subsistence fishing at some point during the year, while another 60.2 million people were commercially employed (90% of global fisheries employment). From 14 country case studies, it was possible to estimate that the subsistence catch provided an average apparent intake of six nutrients critical for positive health outcomes, equivalent to 26% of the recommended daily nutrient intake for 112.5 million people, higher than the national average contribution of beef or poultry.

Aquatic foods, particularly fish, are recognized as a unique source of essential fatty acids, micronutrients and protein many diets lack, especially in poor and vulnerable communities. Tilapia (Oreochromis sp.) fillets typically represent 30%-33% of the fish, leaving around 70% of the fish unused for human consumption. These nutrient-rich by-products can be converted into food and other products with medical, pharmaceutical and packaging applications. Heads and backbones of processed tilapias, and undersized tilapia can be used in the development or fortification of food products such as fish cakes, sausages and bread. Tilapia skin can be processed into leather for clothing and leather artefacts. Gelatin from fish skin can be developed into edible films and coating while collagen from fish scales and bones has good application in the cosmetic and pharmaceutical fields. The viscera can be converted into biodiesel or silage and hydrolysates, which are good sources of peptides and enzymes. To ensure 100% utilization, any remaining parts of the fish not used for food, can be transformed into products for animal consumption or for fertilizer. Thus, the conversion of by-products from tilapia processing into value-added products can contribute to improve human nutrition and better livelihood opportunities. However, adopting new technologies in value addition will require additional operational costs for acquiring new equipment and skills, a proven market demand for the products and an enabling policy environment.

Aquatic foods ensure food and nutrition security for billions of consumers around the world. As part of food systems, aquatic foods provide nutritious, affordable, convenient options for healthy diets, and can also foster sustainable food production. Within the food system framework, the food environment is the space that connects food procurement to consumption. The food environment influences consumer decisions on which foods to acquire. To date there has been relatively little focus on creating an enabling food environment that supports consumers in decisions to obtain aquatic foods. To fill this gap, we conducted a narrative review of literature from 2000–2020 to document the availability, affordability, convenience, promotion, quality and sustainability of aquatic foods within diverse food environments. Our review highlighted several opportunities that can support development and promotion of convenient, high quality aquatic foods. We also noted several research gaps. For example, some consumers, especially those in high income countries, respond well to labels related to sustainability and also to messaging to consume diverse types of fish, especially lower tropic species like anchovy. However, less is documented on how promotion influences consumers from LMIC. The paper also notes a gap in assessment of the price and affordability of aquatic foods. Most price and affordability assessments do not provide details on which aquatic foods were considered in the costing assessment. In addition, wild or home-harvested aquatic foods are often not accounted for in price and affordability assessments. Using case studies, we demonstrate how considering the food environment in research and implementation strategies can add value to program design. For example, processing tuna frames and underutilized small fish species into powder is one innovation that reduces food waste and also creates a convenient, quality product. These results provide the foundation for deepening our understanding of how key elements of the food environment influence consumers’ decision-making and how these elements can be considered in future research, programming and policy efforts.

Poverty and food insecurity persist in sub-Saharan Africa. We conducted a secondary analysis of nationally representative data from three sub-Saharan Africa countries (Malawi, Tanzania, and Uganda) to investigate how both proximity to and engagement with small-scale fisheries are associated with household poverty and food insecurity. Results from the analysis suggest that households engaged in small-scale fisheries were 9 percentage points less likely to be poor than households engaged only in agriculture. Households living in proximity to small-scale fisheries (average distance 2.7 km) were 12.6 percentage points more likely to achieve adequate food security and were 15 percentage points less likely to be income poor, compared to the most distant households. Households distant from fishing grounds (>5 km) were 1.5 times more likely to consume dried fish compared to households living close. Conserving the flow of benefits from small-scale fisheries is important for meeting the Sustainable Development Goals in the region.

The EAT-Lancet Commission's planetary health guidelines suggest a reduction in the consumption of animal-source foods (ASFs) for better health and more sustainable food systems. ASFs are highly nutrient dense, therefore suited to address the widespread issue of micronutrient deficiencies, particularly in low-resource settings where diets are predominantly plant based. ASFs are also believed to contain the meat factor, a substance enhancing the absorption of micronutrients from plant-based foods. We conducted a scoping review with the objective of systematically mapping the available evidence on the meat factor. The MEDLINE/PubMed and Web of Science databases were searched for literature published up to September 2021. Articles eligible for inclusion were all studies assessing the effect of adding ASFs and/or ASF fractions on micronutrient absorption from a plant-based meal or the overall diet in animal models and human subjects. Screening and data extraction were performed, and results were charted into 12 categories. We identified 77 articles eligible for inclusion, 52 of which were conducted in human subjects, 24 in animal models, and 1 in both. The addition of muscle tissue and muscle tissue fractions to single plant-based meals steadily increased absorption of iron and zinc across studies. The efficacy of the meat factor in increasing iron and zinc absorption in the overall diet is less clear. No clear differences emerged between red meat, poultry, and fish in promoting the meat factor effect. No clear evidence indicates that milk and egg products contain the meat factor. Our review highlights the importance of muscle tissue for the potential of the meat factor to enhance absorption of micronutrients of concern. Although the literature supports including sustainable and economically accessible forms of these ASFs into the diet, we found limited studies in resource-poor countries and of diets with low meat intake.

Food system is a powerful concept for understanding and responding to nutrition and sustainability challenges. Food systems integrate social, economic, environmental and health aspects of food production through to consumption. Aquatic foods are an essential part of food systems providing an accessible source of nutrition for millions of people. Yet, it is unclear to what degree research across diverse disciplines concerning aquatic foods has engaged food systems, and the value this concept has added. We conducted a systematic review of fisheries, aquaculture and aquatic food literature (2017–2019) to determine the following: the characteristics of this research; the food systems components and interrelations with which research engaged; and the insights generated on nutrition, justice, sustainability and climate change. Sixty five of the 88 reviewed articles focussed on production and supply chains, with 23 considering human nutrition. Only 13% of studies examined low- and middle-income countries that are most vulnerable to undernutrition. One third of articles looked beyond finfish to other aquatic foods, which illuminated values of local knowledge systems and diverse foods for nutrition. When aggregated, reviewed articles examined the full range of food system drivers—biophysical and environmental (34%), demographic (24%) and socio-cultural (27%)—but rarely examined interactions between drivers. Future research that examines a diversity of species in diets, system-wide flows of nutrients, trade-offs amongst objectives, and the nutritional needs of vulnerable social groups would be nudging closer to the ambitions of the food systems concept, which is necessary to address the global challenges of equity, nutrition and sustainability.

Fish make an important contribution to micronutrient intake, long-chained polyunsaturated omega-3 fatty acids (n-3 LC-PUFAS), and animal protein, as well as ensuring food and nutrition security and livelihoods for fishing communities. Micronutrient deficiencies are persistent in sub-Saharan Africa (SSA), contributing to public health issues not only in the first 1000 days but throughout adolescence and into adulthood. School feeding programs (SFPs) and home-grown school feeding programs (HGSF), which source foods from local producers, particularly fisherfolk, offer an entry point for encouraging healthy diets and delivering essential macro- and micronutrients to schoolchildren, which are important for the continued cognitive development of children and adolescents and can contribute to the realization of sustainable development goals (SDGs) 1, 2, 3, 5, and 14. The importance of HGSF for poverty alleviation (SDG1) and zero hunger (SDG 2) have been recognized by the United Nations Hunger Task Force and the African Union Development Agency–New Partnership for African Development (AUDA-NEPAD), which formulated a strategy for HGSF to improve nutrition for the growing youth population across Africa. A scoping review was conducted to understand the lessons learned from SFPs, which included fish and fish products from small-scale producers, identifying the challenges and best practices for the inclusion of fish, opportunities for improvements across the supply chain, and gaps in nutritional requirements for schoolchildren which could be improved through the inclusion of fish. Challenges to the inclusion fish in SFPs include food safety, supply and access to raw materials, organizational capacity, and cost, while good practices include the engagement of various stakeholders in creating and testing fish products, and repurposing fisheries by-products or using underutilized species to ensure cost-effective solutions. This study builds evidence of the inclusion of nutritious fish and fish products in SFPs, highlighting the need to replicate and scale good practices to ensure sustainable, community-centred, and demand-driven solutions for alleviating poverty, malnutrition, and contributing to greater health and wellbeing in adolescence.

The significance of fish for human nutrition, health, and livelihoods is increasingly recognized by and for people around the world, especially in the Global South. However, fisheries and aquaculture do not equally benefit people who are engaged in and rely on it. This chapter brings together insights from current literature on small-scale and commercial fisheries and aquaculture to surface the experiences, opportunities, and challenges for women and men in these sectors in the Global South. The chapter uses a gender and political economy lens, which enables the identification of patterns of social, political and economic trends, outcomes, and factors within and across the sectors in Southern countries that reflect and perpetuate inequalities, including gender.

Fish is a rich source of several important nutrients and an important part of the otherwise plant-dominated diet present in Angola. However, fish may also be a source of contaminants. The aim of this study was to analyse the nutrient contents and the levels of chemical contaminants, including arsenic, cadmium, mercury, and lead, in five commonly consumed marine fish species sampled during a survey with the research vessel Dr. Fridtjof Nansen in Angola. The species’ contribution to recommended nutrient intakes (RNI) for women and children was assessed and compared to that of food products of terrestrial animal origin. All the sampled species are good sources of protein and micronutrients if included in the diet, and inter-species variation is evident. The species were identified to contribute 5–15% of the RNI for calcium, iron, iodine, and zinc and exceeded the contribution to protein and iron intakes of food products of terrestrial animal origin. Furthermore, the potential consumer exposure to chemical contaminants in the species was assessed. None of the species exceeded the maximum levels for cadmium, mercury, and lead, and the potential consumer exposure to cadmium and methylmercury was considered low. The data presented in this study represent an important contribution to African food composition tables.

Research was funded by the International Fund for Agricultural Development (IFAD) with project partners McGill University, WorldFish, Bioversity International, Self Help Africa, University of Zambia, SPRODETA and the LUANAR and by the CGIAR research program on Agriculture for Nutrition and Health.

Vietnam has improved its food security situation at the price of losing traditional varieties adapted to local tastes and conditions due to increased production and use of highyield crop varieties (mainly large scale mono-cropping). Decreased diversity of foods is a growing issue, and the existence of malnutrition in regions where staple crop production and food availability are sufficient highlights the necessity for a multidisciplinary approach to design interventions that target the four dimensions of food security availability, access, stability and utilisation, of a diverse group of locally available nutritious foods. This paper demonstrates the use of the Four Cell Approach to participatory research to rapidly identify trends in a) species and food usage in a landscape and b) the dynamics of the food system which may contribute to, or be leveraged to improve, peoples’ capabilities to be nutrition secure. In the case of Son La Province, Vietnam, explored in this paper, it is possible to conclude a positive relationship between increased production diversity and dietary diversity, and highlight the importance of markets for diffusion of diverse foods. Diversification of species production and consumption has a positive effect on resilience during the off-season, and diversification of coping mechanisms utilised by communities can build resilience for future shocks. Food-based approaches that promote diversified production and consumption of locally available nutritious foods that local people value, while ensuring access to markets, have the potential to improve capabilities of local people to provide nutritious foods for themselves and their communities while improving resilience to be food and nutrition secure at all times.